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STATE OT , COLORADO- <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> COI ORADO <br /> 1313 Sherman St.,Room 215 5o t' F <br /> L)RECLAMATIONI v1510140F <br /> Denver,Colorado 80203 <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&_ <br /> SAFETY <br /> June 2, 2014 PZE CE I V E_ John W.Hic�enlooper <br /> Governor <br /> N Mike King <br /> Fred J. Orr 111 we Director <br /> w <br /> RI-1,11-11"11 - CU, <br /> Baculite Mesa,LLC <br /> Virginia Brannon <br /> W-'z'bO� <br /> 5040 Acoma Street ector <br /> Denver, CO 80216-2010 Al" Al <br /> Bactilite Mesa Pit, Permit M-1997-01 1,Annual Fee hwoice and 11CI)Ort Request <br /> PLEAS)" READ CARI,"FU1,1LY— AC'I"10N REQU]1111 1) <br /> Please attach your CONW1,11"FED written Annual I7CI)01-t and Annual Report Mal) to this form <br /> Under the terms of your NOI or Reclamation Pci-wit and Colorado Statutes, you must submit AllnualTees and <br /> Annual Reports (including a map). You must pay the ArillUal Fee and submit all Annual Report each'';year until <br /> reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for <br /> LAST YEAR'S ininin,, and rcclainationscason, and MUST be paid even if your operation was inaclive. <br /> The AnIlUal Report and Fee requirement will be considered submitted when we have receive([ the following <br /> components: <br /> I. APPROPRIATE ANNUAL FEE <br /> 2. CONNIPLETED ANNUAI,REPORT <br /> 3. ASSOCIATED jNJAP as required by rule <br /> If you]rave requested reclamation responsibility release from the Division of Reclamation. Mining and Safety <br /> ("Division")but your permit is not released by the anniversary date listed below-, the Annual Fee MUST be paid. If <br /> the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or subinit <br /> all Annual Report for that year. <br /> Division records indicate the S79 1.00 f­­ is due !-r the !'olloxvinn: <br /> Pennit: M-1997-011 <br /> Operation Name: Baculite Mesa Pit <br /> Anniversary Date: July 9, 2014 <br /> Total Fee Due: S79 1.00(Due on or before your Anniversary Date) <br /> Return the enclosed Annual Report FORM. a NIAP.and a CI-IFCK or MONEY ORDER made payable to: Division <br /> of Reclamation, Minim, and Safety. 1313 Sherman St., Room '_2 15. Deriver. CO 80203. If your records indicate <br /> these documents and fees have already been submitted, please notify the Division. <br /> If),oil have additional comments andior information that should be provided to the Di-vision,please provide it below <br /> or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you <br /> have any questions, please feel free to contact Michelle Ramirez(303)866-3567 ext 8114. Thank you for 0ur <br /> cooperation in this matter. <br /> IF THE ANFINUAL FEE SUMN-111"1 A!,S AkF N1l(_)TRI;('E1V[11)()N 01: I31__-'F0kI-. YOUIt ANNIVERSARY <br /> DATE.THE ENFORCEMENT PROCESS WII,I. AUT011ATICALLY BE INIATIED. I"NFORCENIENT <br /> ACTIONS MAY RESULT IN CIVIL PENAL t'IES AN'iXOR REVOCATION OF YOUR PERMIT,, <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grard Juic1con-Durango Active and Inactive Mines <br />